Active NPI
Breedlove Wound Care of Arkansas LLC
- Family Medicine Physician
- Batesville, AR
National Provider Identifier
1689569352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BREEDLOVE WOUND CARE OF ARKANSAS LLC
- Practice address
- 1415 N Saint Louis
Batesville, AR 72501-8467 - Phone
- (903) 947-2020
- Fax
- (903) 352-3665
- NPI assigned
- Jun 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Ann Breedlove
- Title
- Owner
- Phone
- (903) 947-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1415 N Saint Louis
Batesville, AR 72501-8467
Mailing address
PO Box 1129
Tatum, TX 75691-1129
Phone (903) 947-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1415 N Saint Louis
Batesville, AR 72501
Phone (903) 947-2020
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Bonanza, AR
- NPI 1386976850
-
- Family Nurse Practitioner
- Tatum, TX
- NPI 1982844213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749600000000",
"number": "1689569352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1129",
"city": "TATUM",
"state": "TX",
"postal_code": "756911129",
"telephone_number": "903-947-2020",
"fax_number": "903-352-3665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 N SAINT LOUIS",
"city": "BATESVILLE",
"state": "AR",
"postal_code": "725018467",
"telephone_number": "903-947-2020",
"fax_number": "903-352-3665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREEDLOVE WOUND CARE OF ARKANSAS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-11",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A",
"authorized_official_last_name": "BREEDLOVE",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "903-947-2020"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Batesville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.